| Colorado Professional Psychological Group, P.c. | |
|
4100 E Mississippi Ave Suite 600 Denver CO 80246-3048 | |
| (303) 380-0114 | |
| (303) 759-3515 |
| Full Name | Colorado Professional Psychological Group, P.c. |
|---|---|
| Speciality | Clinic/Center |
| Location | 4100 E Mississippi Ave, Denver, Colorado |
| Authorized Official Name and Position | Karen Lee Higginbotham (PRESIDENT/CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 3033800114 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Colorado Professional Psychological Group, P.c. 4100 E Mississippi Ave Suite 600 Denver CO 80246-3048 Ph: (303) 380-0114 | Colorado Professional Psychological Group, P.c. 4100 E Mississippi Ave Suite 600 Denver CO 80246-3048 Ph: (303) 380-0114 |
| NPI Number | 1992893598 |
|---|---|
| Provider Enumeration Date | 10/10/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 9739320409 |
|---|---|
| Medicare Enrollment ID | O20130723000038 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992893598 | NPI | - | NPPES |
| 07011839 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 1183 (Colorado) | Primary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | 1183 (Colorado) | Primary |
| Provider Name | Karen L Higginbotham |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1982791620 PECOS PAC ID: 3173555463 Enrollment ID: I20050907001158 |
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